11080211 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11658 OLIVE SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 11080211
OWNER'S NAME: LEE HYUNG J AND SUN O 1703 CATHAY DR DATE ISSUED:08/29/2011
OWNER'S PHONE: 4082537733 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
❑ LICENSED CONTRACTOR'S DECLARATION r— r
739 �� BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# `-�
�p ! ' MECH RESIDENTIAL COMMERCIAL
Contr Date
I hereby affirm t at I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: SFDWL REROOF,17 SQ,REPLACE EXISTING SHAKE ROOF
(commencing with Section 7000)of Division 3 of the Business&Professions WITH COMP SHINGLES,INSTALL 30 LB FELT,EXISTING
Code and that my license is in full force and effect. SOLID SHEETING TO REMAIN,NO STRUCTURAL.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$9300
permit is issued.
APPLICANT CERTIFICATION APN Number:36654105.00 Occupancy Type:
I certify that 1 have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. /
Issued by: Date:
na Date
C OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signatur of Ap l c �i Date:
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
1 certify that in the performance of the work for which this permit is issued,1 shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or authorized agent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date:
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
c and expenses which may accrue against said City in consequence of the
8 ig of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18 I understand my plans shall be used as public records.
Date`' �7 Licensed Professional
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: TraciC
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36654105. 00
DATE ISSUED. . . . . . . : 08/30/2011
RECEIPT #. . . . . . . . . : BS000014599
REFERENCE ID # . . . : 11080211
SITE ADDRESS . . . . . : 11658 OLIVE SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LEE HYUNG J AND SUN 0
ADDRESS . . . . . . . . . . : 11658 OLIVE SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5141
RECEIVED FROM . . . . : CASTILLO ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTILLO'S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 251-3565
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 9,300.00 1.00 0.00 1. 00 0.00
1BSEISMICR VALUATION 9, 300.00 0. 93 0. 00 0. 93 0.00
1REROOFRES SQ FEET 17. 00 238. 00 0.00 238.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT 239.93 0.00 239. 93 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 239. 93 17295
---------------
TOTAL RECEIPT 239. 93
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
309 EXTERIOR LATH 311 SCRATCH COAT
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 11658 olive spring ct. DATE: 08/29/2011 REVIEWED BY: bobs.
APN: 3W BP#: -VALUATION: 1$9,300
'°PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: I I PERMIT TYPE:
WORK replace exisiting shake roof replace with comp shingles.
SCOPE
FEE ID ROOF AREA
s.f.
1 REROOFFRES 1,700
NOTE: Thesefees are based on the preliminary i2formation available and are only an estimate. Contact the De t or addn 7 info.
FEE ITEMS (11ee Resolution I1-053 b ff'.' L"11) FEE QTY/FEE MISC ITEMS
Permit Fee: $238.00
Work Without Permit? 0 Yes No $0.00
Strong Motion Fee: 1BSEISMICR $0.93 Select an Administrative Item
Bldg= Stds Commission Fee: IBCBSC $1.00
SUBTOTALS,: $239.93 $0.00 TOTAL FEE: $239.93
Revised: 07/04/2011
REROOF PERMIT APPLICATION _-
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO. CA 95014-3255 0
CUPERTINO (408)777-3228• FAX(408)777-3333 -building aacupertino.om
Lem 3 ; 5UA 0
PROJECT ADDRESS �- r Imo, V`'e APN
OWNER NAME Le Q NE -
STREET ADDRESS1 \ , ( CITY S TE ZIP rye i FAX
APPLICANT NAME PHONE.2� _ E-MAIL
STREET ADDRESS O CITY,STATE, ZIP ^ ��
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 51.CO TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ^ .,TLICENSE NUMBER W LICENSE TYPt_M BUS.LIC.#
COMPANY NAME �- E-MAIL FAX
STREET ADDRESS UA - CITY,STATE,ZIP PHONE n
r �[
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE of i6FD or Duplex ❑ Multi-Family ROOF AREA: VALUATION:
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE 12rtYES IF NO, PLYWOOD El '%', 11PLYWD 13OSB PITCH: ROOF
❑NO #LAYERS: THICKNESS: El 5/8- TYPE: ElCDX •12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK L -F
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided. correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buil in onstruction. I authorize.representatives of Cupertinoto enter the above-i�tifieda r✓fqr i ection purposes.
Signature of Applicant/Agent: Date: l(
SUPPLEMENTAL INFO TION REQUIRED
If building is associated with a Home Owner's Association,provide letter E _ - ° s� � =_
of approval from HOA. N
gn
- F.:
_Provide Planning approval to verify if there any restrictions. WIN
_Provide copy of Manufacturer's Installation Specifications.
_Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011.doc revised 03/02/11
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333•building(akupertino.ora
PROJECT ADDRESS { I #
OWNER NAME l PHONE 3. J� E-MAIL
STREET ADDRESSCITY, ATE,z7 ,Y,, r. '75D)
CONTRACTOR NAMEICE SE NUMBER LICENSE TYP$�`n�'��-' BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE, PHON
L
r�
I UNDERSTAND AND AGREE TO E FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection.
For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that
phase of the work is completed. The building inspector will be available within one hour. Progress
and Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied without first obtaining an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be performed.
6. Progress Inspection is required when approximately 50% of roof covering is installed.
7. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of'/" per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre-manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
8. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete, you will be
charged a re-inspection fee of$126.00. The re-inspection fee shall be paid before another inspection
can be scheduled.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections 314 an R315 of
the 2010 California Residential Code. f
Signature of Applicant/ Date:
ReroofPolicv 2011.doc revised 02/16111
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: 0 Je- .PERMIT#
OWNER'S NAME: P. PHONE# `j
GENERAL CONTRACTOR: Pr-�fi BUSINESS LICEN #
ADDRESS: -70 3 CITY/ZIPCODE: f
*Our municipal code requires all busines s working in the city to have a City of Cupertino gusine- sk license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using an subcontractors:
Y
Signature Date
Please check applicable subcontractors and complete the following information:
V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum/Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting /Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
CITY OF CUPERTINO BUILDING P IT
BUILDING ADDRESS: 10292 ORANGE AVE CONTRACTOR:T J CONSTRUCTION INC PERMIT NO: 11010085
OWNER'S NAME: MIMI TSUI 240 WILLOW AVE DATE ISSUED:06/09/2011
F.R'S PHONE: 4085305053 MILLBRAE,CA 94030 PHONE NO:(415)816-5828
❑ LICENSED CONTRACTOR'S'DECLARATION BUILDING PERMIT INFO: BLDG ELECT 1 PLUMB F
License Class Lic.# }
MECH RESIDENTIAL COMMERCIAL
Contractor Date
1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION: NEW(2)STORY SFDWL-2819SQFT(2361 SQ-LIVING)
(commencing with Section 7000)of Division 3 of the Business&Professions &(458SQ-ATTACHED GARAGE);PLANNING RESIDENTIAL
Code and that my license is in full force and effect. PERMIT
8/11/2011-REV I-REMOVE ONE STRONG WALL ALONG LINE(5)ADD COLLECTOR
1 hereby affirm under penalty of perjury one of the following two declarations: ALONG LINEIWSO THAT SEISMIC FORCE WILL BE RE-DIRECTED TO SHEAR
I have and will maintain a certificate of consent to self-insure for Worker's WALLS ALO9G LIND -REV JISS'D 8/11/2011
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
pemnit is issued.
Sq.Ft Floor Arca: Valuation:$480000
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating APN Number:35719030.00 Occupancy Type:
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the PERMIT EXPIRES IF WORK IS NOT STARTED
granting of this permit. Additionally,the applicant understands and will comply,
with all non-point source regulations per the Cupertino Municipal Code,Section WITHIN 180 DAYS OF PERMIT ISSUANCE OR
9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date
Issued by: Date:
OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: RE-ROOFS:
I,as owner of the property,or my employees with wages as their sole compensation, All roofs shall be inspected prior to any roofing material being installed.If a roof is
will do the work,and the structure is not intended or offered for sale(Sec.7044, installed without first obtaining an inspection,I agree to remove all new materials for
Business&Professions Code) inspection.
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant:_ Date:
construct the project(Sec.7044,Business&Professions Code).
hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the IIAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by 1 have read the hazardous materials requirements under Chapter 6.95 of the
California Ilealth&Safety Code,Sections 25.505,25533,and 25534. 1 will maintain
Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
permit is issued. Safety Code,Section 25532(a)should I store or handle hazardous material.
I certify that in the performance of One work for which this permit is issued,1 shall Additionally,should I use equipment or devices which emit hazardous air
not employ any person in any manner so as to become subject to the Worker's contaminants as defined by the Bay Area Air Quality Management District I will
Compensation laws of California. If,after making this certificate of exemption,I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
become subject to the Worker's Compensation provisions of the Labor Code,1 must Health&Safety Code,Sections 25505,25533,and 25534.
forthwith comply with such provisions or this permit shall be deemed revoked. Owner or thorized ag i
Date:_s�`
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is CONSTRUCTION LENDING AGENCY
correct. I agree to comply with all city and county ordinances and state laws relating
I hereby a
to building construction,and hereby authorize representatives of this city to enter affirm that there is a construction lending agency for the performance of work's
upon the above mentioned property for inspection purposes.(We)agree to save for which this permit is issued(Sec.3097,Civ C.)
indemnity and keep harmless the City of Cupertino against liabilities,judgments, Lender's Name
and expenses which may accrue against said City in consequence of the
ting of this permit.Additionally,the applicant understands and will comply Lender's Address
with all non-point gni ce regulati pr the Cupertino Municipal Code,Section
9 18. 1/ ARCHITECT'S DECLARATION
Signature A/ Date I understand my plans shall be used as public records.
Licensed Professional